Unknown Individual – Specialist, NPI 1063489037
Specialist
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
3, Electronics Avenue, Danvers Industrial Park, Danvers, Essex County, Massachusetts, 01937, United States
STE 201
DANVERS, MA 019231099
Phone: (978) 750-0300
Fax: (978) 279-1324
Type: Mailing
300, Mount Auburn Street, Old Cambridge, Cambridge, Middlesex County, Massachusetts, 02138, United States
SUITE 407
CAMBRIDGE, MA 021385600
Phone: (617) 868-7456
Fax: (617) 868-9243
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 01923)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GENERAL SURGERY | MA | 71010 | X-ray of chest, 1 view, front | 74 | 74 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Gastroenterology, Diagnostic Radiology | MA | |
| Pathology, Addiction Medicine | MA | |
| Family Practice | CA | |
| Internal Medicine | MA | |
| Internal Medicine | MA | |
| Internal Medicine | MA | |
| - | MA | |
| Internal Medicine | MA | |
| Family Practice | MA | |
| Internal Medicine | MA |
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